Exhibit 107

 

Calculation of Filing Fee Tables

 

Form F-1
(Form Type)

 

POLYRIZON LTD.
(Exact Name of Registrant as Specified in its Charter)

 

Table 1: Newly Registered and Carry Forward Securities

 

   Security
Type
  Security Class Title  Fee Calculation or Carry Forward Rule   Amount
Registered (1) (2)
   Proposed
Maximum
Offering
Price Per
Unit
   Maximum
Aggregate
Offering
Price (1) (2)  
   Fee Rate   Amount of
Registration
Fee
 
Fees to be Paid  Equity  Units consisting of:   Rule 457(o)        —        —   $9,625,500.00    0.0001102   $1,060.74 
Fees to be Paid  Equity  (i) Ordinary shares, no par value (3)                        
Fees to be Paid  Equity  (ii) Warrants to purchase ordinary shares (3)                        
Fees to be Paid  Equity  Pre-funded units consisting of:   Rule 457(i)                     
Fees to be Paid  Equity  (i) Pre-funded warrants to purchase ordinary shares (3)                        
Fees to be Paid  Equity  (ii)  Warrants to purchase ordinary shares (3)                        
Fees to be Paid  Equity  Ordinary shares issuable upon exercise of the warrants (4)   Rule 457(o)           $27,129,937.50    0.0001102   $2,989.72 
Fees to be Paid  Equity  Ordinary shares issuable upon exercise of the pre-funded warrants                        
Fees to be Paid  Equity  Underwriter’s warrants to purchase ordinary shares (5)   Rule 457(g)                     
Fees to be Paid  Equity  Ordinary shares issuable upon exercise of the underwriter’s warrants (6)   Rule 457(g)       —       $721,912.50    0.0001102   $79.56 
Fees to be Paid  Equity  Ordinary shares, no par value, of the Selling Shareholders   Rule 457(o)           $10,827,527.48    0.0001102   $1,193.20 
   Total Offering Amounts   $ 48,304,877.48        $5,323.22 
   Total Fees Previously Paid             $9,514.31 
   Total Fee Offsets             $0.00 
   Net Fee Due             $0.00 

 

(1) Pursuant to Rule 416 under the Securities Act of 1933, as amended, or the Securities Act, the ordinary shares, or Ordinary Shares, registered hereby also include an indeterminate number of additional Ordinary Shares as may from time to time become issuable by reason of stock splits, stock dividends, recapitalizations or other similar transactions.

 

(2) Estimated solely for purposes of calculating the amount of the registration fee pursuant to Rule 457(o) under the Securities Act. Includes the offering price of Ordinary Shares that the representative of the underwriters has the option to purchase to cover over-allotments, if any.

 

(3) No separate fee is required pursuant to Rule 457(i) of the Securities Act.

 

(4) There will be issued three warrants, or each, a Warrant, each to purchase one Ordinary Share, for every one Ordinary Share offered. The Warrants are exercisable at a per share price equal to the price per Ordinary Share included in the Unit.

 

(5) In accordance with Rule 457(g) under the Securities Act, because the Ordinary Shares underlying the Warrants are registered hereby, no separate registration fee is required with respect to the Warrants registered hereby.

 

(6) Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(g) under the Securities Act. The warrants are exercisable at a per share exercise price equal to 125% of the public offering price. As estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(g) under the Securities Act, the proposed maximum aggregate offering price of the Representative’s warrants is equal to 125% of $577,530 (which is equal to 6% of $9,625,500).